Top five health insurers posted 56 percent profit gains in 2009

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Chadman

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Believe this story paints a bit of a different picture than the 2% profit margin story from Wayne and Mags, and also paints a picture of exactly how they get to these margins. I'm sure it's a bit slanted, but the numbers seem to back it up. - C

Top five health insurers posted 56 percent profit gains in 2009

By John Byrne
Friday, February 12th, 2010 -- 9:45 am
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If no health care overhaul passes Congress, health insurers may be in for a windfall -- and one far larger that most Americans probably realize.

According to a study by a pro-health reform group published Thursday, the nation's largest five health insurance companies posted a 56 percent gain in 2009 profits over 2008. The insurers including Wellpoint, UnitedHealth, Cigna, Aetna and Humana, which cover the majority of Americans with insurance.

The insurers' hefty profit gains came even as 2.7 million more Americans lost their insurance coverage due to the declining economy.

A lobbyist for American's Health Insurance Plans, the trade group that represents insurers in Washington, D.C., attributed the gain in 2009 profits to a poor performance in 2008. In 2008, insurers were forced to write down their stock holdings because of the US market's declines. Insurance companies keep a great deal of money in the markets, earning interest from the time between premiums are paid and the time when health providers are paid.

"It is disingenuous to look at the profits at one company today compared to where it was in the depth of a recession," Robert Zirkelbach, a spokesman for America's Health Insurance Plans, told the Cleveland Plain Dealer.

The insurer profit study was prepared by the liberal-leaning group Healthcare for America Now, an organization bankrolled by labor unions, which typically take strong positions in favor of Democratic policies, while historically being highly critical of Republicans.

"Insurers will - perversely - try and blame the economy for their record-breaking fortunes, saying employers have been shedding jobs and therefor dropping insurance coverage, leading to a decrease in customers," a press release for Health Care for America Now said. "And they're certainly right in the sense that less jobs equals less employer-based health coverage, but that obscures the fact that employers have been steadily dropping health coverage for more employees for 15 years - even during good times - because the insurance industry's prices keep skyrocketing much faster than inflation."

"None of the excuses can explain away the basic reality that insurers make more money when they insure less people. They can pay their CEOs more ("administrative costs" rose this year) when they can charge the healthy exorbitant prices and drop or deny these loyal customers when they become sick and therefore expensive," the release added.

Notably, the study also found that insurers spent less money on medical care as a percentage of their premiums from customers. Salaries, administrative expenses and profits made up more of the insurer's expenses in 2009.

Wellpoints Anthem Blue Cross California created a stir earlier this week by announcing that they will raise premiums on individuals by 39 percent in 2010. The increase was so high it drew a rebuke from the Obama Administration. Wellpoint defended the increase, saying the decline in customers had increased the percentage of sick patients under their care, thus warranting a higher charge to consumers. Wellpoint also pointed out that their California division actually lost money in 2009.

Yet, the company posted a profit of $4.7 billion for the year. That put them at a higher profit margin (7.3 percent) than any of the other top five American insurers.

Wellpoint's CEO also recently said they are considering paying a dividend to their investors -- a sign of their profitability -- which might further rankle insurance company critics.

Insurance companies typically average a profit margin closer to four percent, with about 80-85 percent of premiums spent on reimbursing patients' medical expenses. The remainer goes to administrative costs, salaries and marketing. Under a bill under consideration in the Senate, medical "loss benefit ratios" would be set at 80-85 percent, meaning insurers would face little pressure to trim administrative costs relative to medical care.

Other highly profitable insurers in 2009 included Humana, which saw a profit yield of 7.1 percent.

Despite record 2009 profits, insurers are under increasing pressure to deliver gains for investors, as the pool of insured Americans continues to fall. Insurance companies that make much of their money from businesses' healthcare plans have seen declining rolls amid an economic roiled by a nearly 10 percent unemployment rate.

Some analysts have also said that the failure of the health insurance reform package could damage insurance companies in the long run, because subsidies from the federal government would have likely insured 30 million new customers.

Health Care for America Now's study also highlighted the following statistics:

* The five largest insurance firms firms made $12.2 billion, an increase of $4.4 billion, or 56 percent, from 2008.
* Four out of the five companies saw earnings increases, with CIGNA?s profits jumping 346 percent.
* The companies provided private insurance coverage to 2.7 million fewer people than the year before.
* Four out of the five companies insured fewer people through private coverage. UnitedHealth alone insured 1.7 million fewer people through employer-based or individual coverage.
* All but one of the five companies increased the number of people they covered through public insurance programs (Medicaid, CHIP and Medicare). UnitedHealth added 680,000 people in public plans.
* The proportion of premium dollars spent on health care expenses went down for three of the five firms, with higher proportions going to administrative expenses and profits.
 

Mags

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Believe this story paints a bit of a different picture than the 2% profit margin story from Wayne and Mags, and also paints a picture of exactly how they get to these margins. I'm sure it's a bit slanted, but the numbers seem to back it up. - C

Top five health insurers posted 56 percent profit gains in 2009

By John Byrne
Friday, February 12th, 2010 -- 9:45 am
Share on Facebook Stumble This!

If no health care overhaul passes Congress, health insurers may be in for a windfall -- and one far larger that most Americans probably realize.

According to a study by a pro-health reform group published Thursday, the nation's largest five health insurance companies posted a 56 percent gain in 2009 profits over 2008. The insurers including Wellpoint, UnitedHealth, Cigna, Aetna and Humana, which cover the majority of Americans with insurance.

The insurers' hefty profit gains came even as 2.7 million more Americans lost their insurance coverage due to the declining economy.

A lobbyist for American's Health Insurance Plans, the trade group that represents insurers in Washington, D.C., attributed the gain in 2009 profits to a poor performance in 2008. In 2008, insurers were forced to write down their stock holdings because of the US market's declines. Insurance companies keep a great deal of money in the markets, earning interest from the time between premiums are paid and the time when health providers are paid.

"It is disingenuous to look at the profits at one company today compared to where it was in the depth of a recession," Robert Zirkelbach, a spokesman for America's Health Insurance Plans, told the Cleveland Plain Dealer.

The insurer profit study was prepared by the liberal-leaning group Healthcare for America Now, an organization bankrolled by labor unions, which typically take strong positions in favor of Democratic policies, while historically being highly critical of Republicans.

"Insurers will - perversely - try and blame the economy for their record-breaking fortunes, saying employers have been shedding jobs and therefor dropping insurance coverage, leading to a decrease in customers," a press release for Health Care for America Now said. "And they're certainly right in the sense that less jobs equals less employer-based health coverage, but that obscures the fact that employers have been steadily dropping health coverage for more employees for 15 years - even during good times - because the insurance industry's prices keep skyrocketing much faster than inflation."

"None of the excuses can explain away the basic reality that insurers make more money when they insure less people. They can pay their CEOs more ("administrative costs" rose this year) when they can charge the healthy exorbitant prices and drop or deny these loyal customers when they become sick and therefore expensive," the release added.

Notably, the study also found that insurers spent less money on medical care as a percentage of their premiums from customers. Salaries, administrative expenses and profits made up more of the insurer's expenses in 2009.

Wellpoints Anthem Blue Cross California created a stir earlier this week by announcing that they will raise premiums on individuals by 39 percent in 2010. The increase was so high it drew a rebuke from the Obama Administration. Wellpoint defended the increase, saying the decline in customers had increased the percentage of sick patients under their care, thus warranting a higher charge to consumers. Wellpoint also pointed out that their California division actually lost money in 2009.

Yet, the company posted a profit of $4.7 billion for the year. That put them at a higher profit margin (7.3 percent) than any of the other top five American insurers.

Wellpoint's CEO also recently said they are considering paying a dividend to their investors -- a sign of their profitability -- which might further rankle insurance company critics.

Insurance companies typically average a profit margin closer to four percent, with about 80-85 percent of premiums spent on reimbursing patients' medical expenses. The remainer goes to administrative costs, salaries and marketing. Under a bill under consideration in the Senate, medical "loss benefit ratios" would be set at 80-85 percent, meaning insurers would face little pressure to trim administrative costs relative to medical care.

Other highly profitable insurers in 2009 included Humana, which saw a profit yield of 7.1 percent.

Despite record 2009 profits, insurers are under increasing pressure to deliver gains for investors, as the pool of insured Americans continues to fall. Insurance companies that make much of their money from businesses' healthcare plans have seen declining rolls amid an economic roiled by a nearly 10 percent unemployment rate.

Some analysts have also said that the failure of the health insurance reform package could damage insurance companies in the long run, because subsidies from the federal government would have likely insured 30 million new customers.

Health Care for America Now's study also highlighted the following statistics:

* The five largest insurance firms firms made $12.2 billion, an increase of $4.4 billion, or 56 percent, from 2008.
* Four out of the five companies saw earnings increases, with CIGNA?s profits jumping 346 percent.
* The companies provided private insurance coverage to 2.7 million fewer people than the year before.
* Four out of the five companies insured fewer people through private coverage. UnitedHealth alone insured 1.7 million fewer people through employer-based or individual coverage.
* All but one of the five companies increased the number of people they covered through public insurance programs (Medicaid, CHIP and Medicare). UnitedHealth added 680,000 people in public plans.
* The proportion of premium dollars spent on health care expenses went down for three of the five firms, with higher proportions going to administrative expenses and profits.

Insurance companies typically average a profit margin closer to four percent, with about 80-85 percent of premiums spent on reimbursing patients' medical expenses. The remainer goes to administrative costs, salaries and marketing

I wonder (and don't know the answer to this myself) what other industries run in terms of admin, marketing, and salaries. It seems to me that "cost of goods sold" being 80-85% of the price is a pretty good deal to the consumer.

The "cost of goods sold" for autos and furniture is certainly lower. Think of how much Pharma spends on advertising and salaries (Pharma's CEO's make more than insurance company CEO's on average too). Life, Auto, and Home insurance has a much lower loss ratio on average. I'll even bet that groceries (which we all need to live) has a bigger markup, when taking marketing, salaries, and profit margin into consideration.

Seems to me, that over a 2 year period, health insurers are doing about what is expected and fair - they got 2.2% in 2008 in PM, and they reached 7.1% in 2009. Arithmetic average is 4.65% - but when weighted by the time value of money, it is even less. Sounds pretty fair to me.

Costs are high for medical coverage - a small part of which is due to insurance company overhead, surely. But bigger parts include hospital costs, doctor fees (ever see a poor doctor?), rx costs, and most importantly - people are overutilizing!

70% of health care costs (this was quoted by Obama) is due to people's own doing - yes, their own fault, due to lifestyle issues (fat, smoking, etc).

Not only is that fact truly amazing - BUT IT IS GONNA GET WORSE! By 2018, it is projected that 2 out of every 3 children will be considered OBESE. It may be a good time to invest in insulin and heart disease/cholestorol drugs!

Yet, the biggest cost drivers Obama is unwilling to go after - he is WAY too scared of them (and clearly any politician is, including Repubs) - Doctors, Pharma, and hospitals. Yes, he got $80B from Phara. So what - all they did was say they wouldn't raise their prices as fast as they are planning to in the future. They still plan on charging US customers 4-10 times more than they do for the same drug in other countries. Yea, that makes a lot of sense.

The best way to slow health care costs - rationing. That is where all the costs are. People overusing coverage, people being fat, people not out excercising. 80-85% of every dollar spent on health care is due to claims. If we could reduce that in half (see lifestyle issues above), we could cut our spending on healthcare by more than HALF!

Maybe we give everyone coverage that takes care of themselves - and those that don't, then they have to pay the tab for themselves AND the healthy!

Right now, the healthy subsidize the sick. How about making the sick/fat (not necessarily the same, mind you) pay for themselves AND subsidize the healthy!

Now THAT would be the correct incentive. Wanna save money? Get into shape and stop going to the doctor every other day!
 
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Mags

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I have read both posts and I side with Chadman.

Rusty:

No worries - propaganda can convince people to believe what they believe, whether it is right or wrong.

Nobody likes insurance companies, cable companies, Cops, etc.... It comes with the territory.. necessary evils I guess.....Personally, I don't like to see grocery stores wasting money on marketing, salaries, etc - food should be basically free, since everyone needs it to live. How dare Grocery Stores make money on Americans! Same goes with gas/oil companies. Shouldn't gas be sold for "cost", since we all need it to get to our jobs and work? It is an outrage that we pay markups on food and gas. It is a basic human right to eat!

And I still haven't figured out whether global warming is real or not (based on all the propoganda that is going on out there)....

Bottom line, the public believes what the liberal media tells us - heck, they made us believe that Obama was a moderate before the election, although most of us knew he was all about income redistribution, big government, and socialistic policies.....

It's hard to be critical of anyone's beliefs - as most (not all, but most) of us are shaped by what we heard on TV, radio, and the internet today
 

Trampled Underfoot

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Bottom line, the public believes what the liberal media tells us - heck, they made us believe that Obama was a moderate before the election, although most of us knew he was all about income redistribution, big government, and socialistic policies.....

I don't understand how some people can basically sit here and say that Obama is not a moderate. Some of you guys act like he is some crazy liberal. I wish he was. Both parties have sold out and its not for the liberal agenda.
 

DOGS THAT BARK

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My answer is same as I posted when you started similiar thread-- less than a month ago

http://www.madjacksports.com/forum/showthread.php?t=395158&highlight=healthcare
Largest US health insurer?s profits rise 30 percent

-- I assume--
A: since Bryne did both articles --you must like him-even after being warned of his Micheal Moore tactics of munipulating #'s less than month ago

B:your answer to chart below will be the same again--until his next article comes out :)


http://money.cnn.com/magazines/fortune/fortune500/2009/performers/industries/profits/

Top industries: Most profitable

<TABLE class=cnnsnapDataWrapper border=0 cellSpacing=0 cellPadding=0><TBODY><TR vAlign=top><TD class=cnnmainCol><DIV id=cnnmagFeatData><SCRIPT>if (location.pathname.match('assets')) { document.write('<div id="industryTopNav" class="Tab1Visible">');} else if (location.pathname.match('equity')) { document.write('<div id="industryTopNav" class="Tab2Visible">');} else { document.write('');}</SCRIPT>
<TABLE class=cnnwith220inset border=0 cellSpacing=0 cellPadding=0><THEAD><TR><TH class=cnncol1>Industry Rank</TH><TH class=cnncol2>Industry</TH><TH class=cnncol3>2008 Profits
as % of
Revenues</TH></TR></THEAD><TBODY><TR><TD class=cnncol1>1</TD><TD class=cnncol2>Network and Other Communications Equipment</TD><TD class=cnncol3>20.4</TD></TR><TR><TD class=cnncol1>2</TD><TD class=cnncol2>Internet Services and Retailing</TD><TD class=cnncol3>19.4</TD></TR><TR><TD class=cnncol1>3</TD><TD class=cnncol2>Pharmaceuticals</TD><TD class=cnncol3>19.3</TD></TR><TR><TD class=cnncol1>4</TD><TD class=cnncol2>Medical Products and Equipment</TD><TD class=cnncol3>16.3</TD></TR><TR><TD class=cnncol1>5</TD><TD class=cnncol2>Railroads</TD><TD class=cnncol3>12.6</TD></TR><TR><TD class=cnncol1>6</TD><TD class=cnncol2>Financial Data Services</TD><TD class=cnncol3>11.7</TD></TR><TR><TD class=cnncol1>7</TD><TD class=cnncol2>Mining, Crude-Oil production</TD><TD class=cnncol3>11.5</TD></TR><TR><TD class=cnncol1>8</TD><TD class=cnncol2>Securities</TD><TD class=cnncol3>10.7</TD></TR><TR><TD class=cnncol1>9</TD><TD class=cnncol2>Oil and Gas Equipment, Services</TD><TD class=cnncol3>10.2</TD></TR><TR><TD class=cnncol1>10</TD><TD class=cnncol2>Scientific, Photographic, and Control Equipment</TD><TD class=cnncol3>9.9</TD></TR><TR><TD class=cnncol1>11</TD><TD class=cnncol2>Household and Personal Products</TD><TD class=cnncol3>8.7</TD></TR><TR><TD class=cnncol1>12</TD><TD class=cnncol2>Utilities: Gas and Electric</TD><TD class=cnncol3>8.7</TD></TR><TR><TD class=cnncol1>13</TD><TD class=cnncol2>Aerospace and Defense</TD><TD class=cnncol3>7.6</TD></TR><TR><TD class=cnncol1>14</TD><TD class=cnncol2>Food Services</TD><TD class=cnncol3>7.1</TD></TR><TR><TD class=cnncol1>15</TD><TD class=cnncol2>Industrial Machinery</TD><TD class=cnncol3>6.9</TD></TR><TR><TD class=cnncol1>16</TD><TD class=cnncol2>Food Consumer Products</TD><TD class=cnncol3>6.7</TD></TR><TR><TD class=cnncol1>17</TD><TD class=cnncol2>Electronics, Electrical Equipment</TD><TD class=cnncol3>6.5</TD></TR><TR><TD class=cnncol1>18</TD><TD class=cnncol2>Commercial Banks</TD><TD class=cnncol3>5.2</TD></TR><TR><TD class=cnncol1>19</TD><TD class=cnncol2>Telecommunications</TD><TD class=cnncol3>5.1</TD></TR><TR><TD class=cnncol1>20</TD><TD class=cnncol2>Chemicals</TD><TD class=cnncol3>5.0</TD></TR><TR><TD class=cnncol1>21</TD><TD class=cnncol2>Construction and Farm Machinery</TD><TD class=cnncol3>5.0</TD></TR><TR><TD class=cnncol1>22</TD><TD class=cnncol2>Insurance: Life, Health (stock)</TD><TD class=cnncol3>4.6</TD></TR><TR><TD class=cnncol1>23</TD><TD class=cnncol2>Information Technology Services</TD><TD class=cnncol3>4.5</TD></TR><TR><TD class=cnncol1>24</TD><TD class=cnncol2>Computers, Office Equipment</TD><TD class=cnncol3>4.3</TD></TR><TR><TD class=cnncol1>25</TD><TD class=cnncol2>Metals</TD><TD class=cnncol3>3.9</TD></TR></TBODY></TABLE>
</TD></TR></TBODY></TABLE>
 
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Chadman

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Mags, maybe I've never said it before, but I do agree with your personal responsibility angle in this whole picture. I do believe that what you've cited is a big problem and should be addressed. That being said, I do not consider the insurance companies to be beyond reproach in this story, and in many ways are at the root of the issue. I feel that much of the money they outlay - which causes lower profit margins - is designed to manipulate and control their market, and is detrimental to the consumer, and the consumer really has no solid better options. I think the subject of health insurance (for most people) is a non-negotiable expense that can not be shopped around to find a much lower rate somewhere else. There are a few things that people need to have that they can't really (sensibly) do without - housing, insurance, medical care, automobile/travel (for general day-to-day living requirements), those kinds of things. Of these, medical costs and insurance are pretty much what they are, and shopping around is not that much of a difference or even an option for a lot of people. To get a decent healthcare plan, I don't think I can just look one up on the Web, shop around, and realize a dramatically different price - one that fits nicely into a budget. Maybe I'm wrong, and I'm going to be faced with that very soon, too. I'll have to take what I can find, because I can't afford not to.

Wayne, my point in posting this article was to show something different from your ongoing repost of that list - which is from 2008, a one year snapshot. As my post shows, the profit margins for this sector - essentially controlled by four companies (far from the norm, right?) went up considerably last year - at a time when the public and legislative limelight was squarely on them and they are aggressively trying to paint a different picture. Yes, your post is still the same, but my post shows it no longer is accurate, and these guys are heading up the ladder of profit MARGINS. The reasons why? They are insuring fewer people, they can deny coverage, it's in their best interest to fight claims that people have to pay, they are paying their upper management an increasing amount of money - all at the same time they are aggressively paying lobbyists to protect their financial and legislative stakes, and are buying up the competition to even better control the bottom line with less competition.

It's a good gig, really. While not the only problem, they certainly are a part of it. I think Big Pharma and healthcare providers are probably even more of a problem, but they aren't the only problems, and they all seem to have a stake in keeping costs high for the individual. When was the last time you saw a sale price on something in the medical field, insurance field, a doctor's services, etc? Why is that?
 
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